NPI | 1548726482 |
---|---|
Former Name | KARA MARIE MATTHEWS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 22611) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 22611) |
Enumeration Date | 2019-02-15 |
Last Update Date | 2023-10-27 |